Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 03260959 | CT |
N | 111NI0900X | Internist | 03260959 | CT |
N | 207RC0200X | Critical Care Medicine | 054214 | CT |
Y | 207RP1001X | Pulmonary Disease | 054214 | CT |
NPI | 1013330091 |
---|---|
Provider Name | Bilal Khan |
First Address | Norwalk, CT 06850-3737 |
Second Address | Norwalk, CT 06850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2014 |
Last Update Date | 13/06/2018 |